Lesson 1Follow-up planning, reassessment for definitive elective surgery if indicated, and documentation for outpatient handoverThis part explains how to plan after-care after ulcer surgery, recheck need for full choice ops, and make clear records and go-home sums that back safe outside care flow.
Scheduling early and long-term surgical follow-upCriteria for considering definitive elective surgeryKey elements of a safe discharge summaryCommunication with primary care and gastroenterologyPatient education for warning signs after dischargeLesson 2Nutrition and mobilization: NPO duration, nasogastric tube indications, timing of enteral feedingThis part deals with after-op food and move, including no-food time, nose-stomach tube signs, time and way of gut feeding, and plans that push early walk and better healing.
Criteria to discontinue nasogastric decompressionAssessing readiness to start oral intakeStepwise advancement of postoperative dietEnteral versus parenteral nutrition decisionsEarly mobilization and physiotherapy protocolsLesson 3Recognition and management of late complications: fistula, adhesive obstruction, recurrent ulcerationThis part checks late after-op problems after ulcer surgery, like leak tract, stick block, and repeat sore, focusing on clinic spot, diagnostic check, and step medical, scope, or surgery fix.
Clinical features of postoperative enterocutaneous fistulaEvaluation and imaging of adhesive small bowel obstructionManagement of chronic fistula output and nutritionDiagnosis of recurrent ulceration after surgeryEndoscopic and surgical options for recurrent ulcersLesson 4Analgesia plans including multimodal strategies and opioid-sparing optionsThis part shows mixed after-op pain plans, stressing area ways, non-strong add-ons, strong-sparing sets, watch for sides, and fit pain control to boost healing and move.
Pain assessment scales and documentationUse of acetaminophen and NSAIDs safelyRegional blocks and epidural analgesia optionsAdjuvant agents such as gabapentinoidsDesigning opioid-sparing analgesia protocolsLesson 5Immediate postoperative monitoring in PACU/ICU: parameters, frequency, and escalation triggersThis part outlines planned watch in recovery and ICU after ulcer surgery, setting vital measures, pain and calm check, watch how often, and clear rise signs, quick help call, or move to higher care.
Standard PACU monitoring set and documentationHemodynamic and urine output targets after surgeryRespiratory monitoring and pulse oximetry strategyPain, sedation, and delirium assessment toolsEscalation triggers and rapid response activationLesson 6Early postoperative investigations: labs, radiographs, CT indications for suspected leak or abscessThis part explains when and how to use labs, X-rays, and CT after ulcer surgery to spot leaks or pus early, read key finds, and pick right rise, drain, or re-op plans.
Baseline and serial postoperative laboratory panelsUse of plain radiographs and contrast swallow studiesCT indications for suspected leak or abscessImaging signs of anastomotic leak and collectionsAlgorithm for escalating from labs to advanced imagingLesson 7Infection prevention and antibiotic stewardship: duration, de-escalation based on culturesThis part checks germ stop and antibiotic wise use after ulcer surgery, covering around-op stop time, culture-led step down, watch for fail, and ways to cut resistance and gut bugs.
Appropriate duration of surgical prophylaxisEmpiric therapy for suspected intra-abdominal sepsisCulture collection and interpretation principlesAntibiotic de-escalation and stop criteriaMonitoring for C. difficile and resistant organismsLesson 8Thromboprophylaxis, glycemic control, and wound care best practicesThis part details best ways for clot stop, sugar control, and wound care after ulcer surgery, including risk sort, drug and machine steps, sugar goals, and plans to stop wound germ.
VTE risk assessment and prophylaxis selectionTiming and dosing of pharmacologic anticoagulationMechanical prophylaxis and mobilization protocolsPerioperative glycemic targets and insulin regimensWound dressing choices and infection preventionLesson 9Recognition and management of early complications: leak, intra-abdominal abscess, sepsis, respiratory complicationsThis part covers spot and fix of early problems like join leak, belly pus, sepsis, and breath events, stressing early warn signs, diagnostic paths, revival, and time source control.
Clinical red flags for anastomotic leakSepsis bundles and hemodynamic resuscitationDiagnosis and drainage of intra-abdominal abscessPrevention and treatment of postoperative pneumoniaCriteria for reoperation versus percutaneous drainageLesson 10Long-term medical management of peptic ulcer disease: H. pylori testing and eradication, PPI therapy, NSAID avoidance, smoking and alcohol counselingThis part focuses on long medical care of peptic ulcer illness, including bug test and kill, PPI plans, NSAID risk cut, and advice on smoke, drink, and stick to treatment.
Indications and methods for H. pylori testingStandard and rescue H. pylori eradication regimensOptimizing PPI dosing and tapering strategiesManaging NSAID and antiplatelet exposureLifestyle counseling on smoking and alcohol
